# MARIO SANTINO BUGNONE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043753916
- **Gender:** Man
- **Credential:** LISW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | I.2102756 | OH | — |
| 1041C0700X | Clinical Social Worker | I.2102756 | OH | Yes |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 07/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0383084 | — | OH |